• Special Investigation Unit

    CVS Health (Frankfort, KY)
    …Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit ( SIU ) to ensure compliance with ... contact for the team in the absence of the director , ensuring continuity of operations and support. + Develop...minimum of 2 years of managing staff within a Special Investigation Unit ( SIU ). +… more
    CVS Health (08/08/25)
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  • Director , Compliance ((Must reside…

    Molina Healthcare (KY)
    …accountability for compliance by overseeing, follow-up and resolution of investigations . **Knowledge/Skills/Abilities** * Responsible for oversight and management of ... AVP of Compliance or the AVP of the Corporate SIU an active relationship with third parties who have...who have specific experience in conducting fraud and abuse investigations . * Prepares written reports to inform the AVP… more
    Molina Healthcare (07/12/25)
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  • Manager, Special Investigation

    CVS Health (Frankfort, KY)
    …to match current skills and development needs. Assesses training needs and works with SIU Director on development plans for team members. Develops and maintains ... Health Care Anti-Fraud Association (AHFI) + Experience In Medicaid Compliance, Medicaid Investigations , MCO Medicaid FWA Unit in the following States: **Texas,… more
    CVS Health (08/01/25)
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